Active NPI
Peter Kitts, FNP-C
- Family Nurse Practitioner
- Libby, MT
National Provider Identifier
1487620902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 17575
- Practice address
- 211 E 2ND St
Libby, MT 59923 - Phone
- (406) 293-8711
- Fax
- (406) 293-8735
- NPI assigned
- Feb 24, 2006
- Last updated
- Jun 14, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 17575 | MT | Primary |
Addresses
Primary practice location
211 E 2ND St
Libby, MT 59923
Mailing address
211 E 2ND St
Libby, MT 59923
Phone (406) 293-8711
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0730431 | Other | RURAL HEALTH MCD | |
| 0430797 | Medicaid | MT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17575 | MT | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276473600000",
"number": "1487620902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 E 2ND ST",
"city": "LIBBY",
"state": "MT",
"postal_code": "59923",
"telephone_number": "406-293-8711",
"fax_number": "406-293-8735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 E 2ND ST",
"city": "LIBBY",
"state": "MT",
"postal_code": "59923",
"telephone_number": "406-293-8711",
"fax_number": "406-293-8735"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KITTS",
"first_name": "PETER",
"name_prefix": "Mr.",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-24",
"last_updated": "2010-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MT",
"license": "17575",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RURAL HEALTH MCD",
"identifier": "0730431",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0430797",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Libby, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.